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NPI Code Detail

MEDICARE: MS. LIANA BERKOWITZ PA-C, ATC, CSCS

MEDICARE:  MS. LIANA  BERKOWITZ  PA-C, ATC, CSCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA9113641FL
2363A00000XPhysician AssistantPA.0007781CO
3390200000XStudent in an Organized Health Care Education/Training Program
42255A2300XAthletic Trainer

General Provider Information

NPI Number : 1356757967
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LIANA BERKOWITZ PA-C, ATC, CSCS
Provider Business Mailing Address
First Line : 875 MILITARY TRL STE 200
Second Line :
City : JUPITER
State : FL
Zip : 33458-5700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 875 MILITARY TRL STE 200
Second Line :
City : JUPITER
State : FL
Zip : 33458-5700
Country : US
Telephone Number : 561-746-2411
Fax Number : 877-370-2856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2014
Last Update Date : 03/15/2026

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Directions to “ MS. LIANA BERKOWITZ PA-C, ATC, CSCS” Practice Location

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